Heather Dawn Brock, - Medicare Nurse Practitioner in Brewton, AL

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Heather Dawn Brock, is a medicare enrolled "Nurse Practitioner" in Brewton, Alabama. Her current practice location is 401 Evergreen Ave, Brewton, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 286-8234.

Heather Dawn Brock is licensed to practice in Alabama (license number 1-182636) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003574500.

Contact Information

Heather Dawn Brock,
401 Evergreen Ave,
Brewton, AL 36426-2066
(251) 286-8234
(251) 286-8233

Map and Direction




Provider's Profile

Full NameHeather Dawn Brock
GenderFemale
SpecialityNurse Practitioner
Location401 Evergreen Ave, Brewton, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003574500
  • Provider Enumeration Date: 12/01/2021
  • Last Update Date: 03/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820438617
  • Enrollment ID: I20240426001059

Medical Identifiers

Medical identifiers for Heather Dawn Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003574500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11015727 (Florida)Secondary
363L00000XNurse Practitioner 1-182636 (Alabama)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Heather Dawn Brock allows following entities to bill medicare on her behalf.
Entity NameIbrahim Heart Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629511035
PECOS PAC ID: 4688958648
Enrollment ID: O20170313000103
Entity NamePremiercardia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265015416
PECOS PAC ID: 3870998214
Enrollment ID: O20210823001639

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Dawn Brock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heather Dawn Brock,
401 Evergreen Ave,
Brewton, AL 36426-2066

Ph: (251) 286-8234		Heather Dawn Brock,
401 Evergreen Ave,
Brewton, AL 36426-2066

Ph: (251) 286-8234

Reviews and Comments


Nurse Practitioner Nurses in Brewton, AL

Mamie Kennedy, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1121 Belleville Ave, Brewton, AL 36426
Phone: 251-809-3208    Fax: 251-867-5999
Martha Dawn Singleton, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Belleville Ave, Brewton, AL 36426
Phone: 251-809-8388    Fax: 251-809-8459
Amy White, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 711 Douglas Ave, Brewton, AL 36426
Phone: 251-868-2090    Fax: 251-868-2091
Brittni Lynn Klugh,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2134 Douglas Ave, Brewton, AL 36426
Phone: 251-236-4026    
Aleigh Taylor,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1121 Belleville Ave, Brewton, AL 36426
Phone: 251-809-3160    Fax: 251-809-3165
Donna Conway,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2134 Douglas Ave, Brewton, AL 36426
Phone: 251-236-4026    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.